Active NPI
Christine M Corley, AU.D.
- Audiologist
- Worcester, MA
National Provider Identifier
1124375399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- SP-992-AU
- Practice address
- 24 Park Ave
Worcester, MA 01605 - Phone
- (508) 753-8155
- NPI assigned
- Aug 7, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | SP-992-AU | MA | Primary |
Addresses
Primary practice location
24 Park Ave
Worcester, MA 01605
Mailing address
24 Park Ave
Worcester, MA 01605
Phone (508) 753-8155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120928000357 | MA | Practitioner - Qualified Audiologist | 3577712983 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-992-AU | MA | MD | Audiologist |
| 992 | MA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Audiology Distribution, LLC | Current | Accepting new patients | |
| Szabar, Inc. | Past | Accepting new patients | |
| Cambridge Family Health North | Past | Accepting new patients | |
| Hearusa Inc | Past | Accepting new patients | |
| Vernick & Gopal,LLC | Past | Accepting new patients | |
| Atlantic Audiology, Incorporated | Audiologist | Past | Accepting new patients |
Locations
500 Congress St
Ste 2J
Quincy, MA 02169
Phone (617) 479-7503
979 Main St
Wakefield, MA 01880
Phone (781) 246-0305
500 Salem St
Wilmington, MA 01887
Phone (978) 988-6000
500 Salem St
#62
Wilmington, MA 01887
Phone (978) 988-1999
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist
- Wakefield, MA
- NPI 1760426738
-
- Primary Care Clinic/Center
- Cambridge, MA
- NPI 1174821532
-
- Hearing Instrument Specialist
- Worcester, MA
- NPI 1942351770
-
- Otolaryngology Physician
- Chestnut Hill, MA
- NPI 1427178052
-
- Audiologist-Hearing Aid Fitter
- West Palm Beach, FL
- NPI 1073560231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435190400000",
"number": "1124375399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-753-8155",
"fax_number": "508-797-9524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PARK AVE",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01605",
"telephone_number": "508-753-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "AU.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-07",
"last_updated": "2015-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "MA",
"license": "SP-992-AU",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.